From the category archives:

Payments

Unlike an EHR or EMR, which captures a patient’s medical record at just one hospital or medical practice, TriZetto’s PHR captures the patient’s record of care from all the providers that file claims.

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The initiative, which will simplify information flow between health plans and doctors’ offices, and between health plans and hospitals, is comparable to what ATMs did for banks and consumers.

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The primary conclusion reached from the research is that healthcare pricing transparency is not possible under the current practices and pricing policies of most hospitals and some ASCs.

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“Offering pricing and quality data transparency represents a huge step forward in empowering healthcare consumers with information so they can make informed decisions regarding their medical care,” said Myra Ameigh, President of Vistar Technologies.

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“TriZetto’s highly integrated information systems permit access to a considerable amount of additional data, enabling us to further enhance population management, conduct predictive modeling and help members by anticipating health issues,” said Barbara Downs, senior vice president and chief operating officer, CDPHP.

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“For too long our health care system has been built on paying for the volume of procedures rather than the quality of outcomes,” said Don Bradley, M.D., BCBSNC senior vice president and chief medical officer.

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Bill Marvin, President and CEO of InstaMed stated, “CORE Phase II certification solidifies our commitment to improving electronic data exchange. This accomplishment demonstrates our innovation and leadership, as we are one of the first clearinghouses to achieve this level of certification.”

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